The prescriptions sent to Express Care Pharmacy ’were not cheap,’ ranging from $646 to $5,614, an arrest report said.

DELRAY BEACH - Conspirators shared hundreds of thousands of dollars in kickbacks by submitting hundreds of high-priced mail-order prescriptions, many of them fraudulent, to a single pharmacy, authorities allege.


A July 23 Delray Beach police report suggested charges against five people on counts that include patient brokering, insurance fraud, money laundering, and racketeering conspiracy.


All five since have been charged.


Dominic Victor Forte, 29, who gives an address in North Hollywood, California, was booked Monday at the Palm Beach County Jail. He remained there Friday under $25,000 bond. He's charged with patient brokering involving more than 20 people who sought treatment. A telephone number listed in the report was not accepting calls.


Allan Jarboe, 42, of Parkland in Broward County, was booked at midday Thursday, charged with patient brokering and money laundering of up to $20,000. He was released from custody Thursday night after posting $24,500 bond. Jarboe had not returned a telephone message left for him Tuesday.


Jessica Brosnick Silva faces one count of patient brokering fraud involving more than 20 people. Her father, Glenn Brosnick, said Tuesday he was not familiar with the investigation and couldn't comment. Authorities arrested Silva on Aug. 16, and she posted $20,000 bond to gain her release from the Palm Beach County Jial on Aug. 17.


Andrze Szygiel, 31, who gives an address in Los Angeles, was booked early Saturday at the Palm Beach County Jail and left Sunday afternoon after posting $250,000 bond, records show.


An Aug. 10 filing charged him with four counts of patient brokering and one county of conspiracy to commit brokering. A separate July 31 filing charged him with three counts of brokering, one count of fraudulent insurance claim of more than $100,000, insurance fraud, money laundering and violation of the Racketeer Influenced and Corrupt Organizations Act, or RICO.


Szygiel did not return calls on Aug. 13.


Jonathan Paul "Smitty" Smith, 29, of Delray Beach, was booked Aug. 14 and left the same day after posting $6,000 bond. He is charged with filing a false insurance claim of less than $20,000 and fraudulent use of personal identification. He had told The Palm Beach Post Aug, 13 he wasn't familiar with the charges and couldn't comment, but he did say, "I had no dealings with any pharmacies."


The report named other alleged participants but did not specifically suggest charges. One, Scott Robert Gillis of Boynton Beach, was arrested in 2018 on two felony counts of patient brokering. Both cases remain open.


The report also mentions Mustafa Sandhu, whose father owned Proactive Recovery Center in Delray Beach. Police have said Sandhu agreed to pay kickbacks to Gillis and another man who owned sober homes in exchange for referring patients.


Under Florida law, payments or bribes for sober-home referrals is a crime.


Sandhu's lawyer has said he went to prosecutors early on, realizing he might be breaking the law, and never has been arrested.


According to the report, Syzgiel paid kickbacks for referrals to Express Care Pharmacy, which then billed the patients' insurance companies. Jessica Silva Brosnick and Glenn Brosnick have owned the St. Louis-based pharmacy, which almost exclusively does mail orders, since February 2017.


According to the police report, "many of the prescriptions were forged, unnecessary, and submitted without the knowledge, approval, or consent of the patients and/or the treating physician."


Prescriptions "were not cheap," ranging from $646 to $5,614, the report said.


Express Care denied using marketing representatives. But police report said the firm did use the representatives, one of whom was Syzgiel.


From June 2017 to Memorial Day 2018, the report alleges, Syzgiel recruited marketers who referred hundreds of prescriptions to Express Care. He would get half of the prescription proceeds, sent to him through Jarboe’s Senior Health Network, based in Broward County. Syzgiel then would give his marketers up to 30 percent.


In March 2017, Syzgiel agreed to pay Gillis a 35 percent kickback for every patient referred to Express Care, and Gillis referred 67. Syzgiel gave Gillis 15 payments totaling about $23,800, the arrest report said.


Orders submitted by Gillis to Express Care on July 11, 2017, alone resulted in claims totaling $219,489, the report said.


Sandhu told investigators Syzgiel and Gillis offered him $400 to $800 for every order Sandhu submitted to Express Care. He said he declined that, but agreed to participate in the scheme because Gillis was referring many new patients to Proactive's outpatient program.


Sandhu would provide blank prescription forms signed by a doctor or nurse who worked with Proactive, the arrest report said. Syzgiel worked with Forte, who was involved in sober homes and who paid patients to see a Boca Raton doctor, who then referred them to Express Care.


Jarboe's Senior Health Network paid Syzgiel's outfit $302,321, and Syzgiel gave Forte six payments totaling about $4,810, according to the arrest report.


Forte faces separate felony charges of being a felon in possession of weapons. According to a separate Delray Beach report, when police arrested him at about 3 a.m. Monday on the patient brokering charge, a search uncovered a large knife and a Glock 43 9 mm handgun, with 10 rounds in its clip. A check showed Forte had been convicted of felony burglary in 2010 - the report doesn't say where - and was forbidden to carry weapons.


EK@pbpost.com


@eliotkpbp